Fatigue and SRT

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Veteran Member

Date Joined Nov 2009
Total Posts : 7269
   Posted 5/9/2011 2:06 PM (GMT -6)   
OK -- I guess I am experiencing the SRT fatigue.
However, I expected to hit a brick wall and that hasn't happened yet. Here's what has happened:
Starting maybe 4 weeks ago, I started feeling a tad tired upon awakening in the morning. I felt my sleep was not restorative. But as soon as I staggered to the bathroom and started my morning ritual (brushing my teeth) everything was fine. I felt perfect. I likened it to a car on a winter morning. Leave it run and it warms up. So, basically, in about 3 minutes I was fine. I considered this to be a total non-issue.
Fast forward. I am starting my last week (5 to go, finally!). I feel just a wee bit tired (not much energy) almost all of the time now. It is not real bad at all, but nevertheless noticeable. This has really sneaked up on me. I still stay up almost as late as usual (I used to be up until maybe 2:00 AM; now it's 1:00 AM). I am sleeping in maybe 45 minutes later, too. But that slight tiredness is pretty steady. It doesn't seem to vary much. So, some questions:
1) Does this sound like SRT tiredness?
2) How long is it likely to last after completing SRT?
3) What causes this? Does SRT cause some type of anemia or is it just the body seeking to repair the damaged cells due to the SRT?
4) Does exercise help to diminish the tiredness? I have not gone to the gym for a week. I thought due to laziness, but I'm 100% sure this little tiredness is contributing to that. Probably time to kick it in gear!!

Veteran Member

Date Joined Feb 2010
Total Posts : 3987
   Posted 5/9/2011 3:31 PM (GMT -6)   
Mel -- sounds like you are handling the fatigue pretty well. i'll bet at least a portion of the fatigue is due to overanalysis cool .
age: 56
PSA on 12/09: 6.8
gleason 3+4 = 7
received 3rd and last lupron shot 9/14/10
2/8/11 PSA <.1, T= 6 ng/dl

Veteran Member

Date Joined Jan 2010
Total Posts : 1011
   Posted 5/9/2011 3:35 PM (GMT -6)   
I had some fatigue towards the end of SRT, but it was minor and didn't last very long. I didn't work during SRT. perhaps that helped.
Dx PCa Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4) - 8 cores, 4 positive, 30% of all 4 cores.
Robotic RP March 2009
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes - tumor volume 9%, nerves spared, no negitive side effects.
PSA's < .01, .01, .07, .28, .50. ADT 3 5/10. IMRT 7/10.
PSA's post HT .01, < .01

Regular Member

Date Joined Oct 2009
Total Posts : 252
   Posted 5/9/2011 5:40 PM (GMT -6)   
My fatigue started the second or third week and it was definately noticible. I worked all day and the afternoons were really hard. Just felt worn out and had no desire to do anything. It looks to me like you are going to get thru the SRT without any major side effects. Hope so. F8 might have nailed it. Worrying too much can wear you out.Squid.
*Age 64, PSA July 2009 .66; Biopsy: 2 of 12 cores positive, Gleason 3 + 5
*open Surgery 10/22/09
*Post Surgery Biopsy Gleason 4 + 3; 2 positive margins
*03/11/10 - Bladder neck surgery for stricture
*PSA - 30 day/.07, 90 day/<.1, 180 day/.21
*07/27/10 - IGRT done - 39 zaps, 70 gys
*Post IGRT PSA - 9 mo. PSA, still <.1

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 5/9/2011 6:09 PM (GMT -6)   
Mel, you know my story too well. Now 18 months out from SRT, and the fatigue is overhwelming all the time. Main reason I am in the Oncology Rehab. My story, is the culmative of having going through major radiation twice, and 8 operations in a short period of time. I don't view my situation as even being remotely normal.

Do remember, that the faitgue won't just instantly go away as soon as you hit that last zap. It may or may not take several months for it to diminish, if you are just suffering from "normal" post radiation fatigue.

I was only 46 when I went through the first radiation, and at first, I bounced back quick, at least I thought. Then 3 months out, in the middle of me running the finances/accounting for a 6 state operation, the fatigue came back and slew me, hit a brick wall like you wouldn't believe. That was the first time I went through oncology rehab, I went for 9 months, but still, in those younger days, was able to keep up with my job at that time.

All in all, you have done well with SE from this SRT. Let's just hope it did the job.

Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10

Veteran Member

Date Joined Jun 2007
Total Posts : 789
   Posted 5/9/2011 7:18 PM (GMT -6)   
The fatigue is normal, it goes away with time, I was lucky, being retired, I had a nap every afternoon, that worked for me, but, I have never been the same since the radiation.

Regards Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck,are free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept. Totally dry since catheter removed
PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.
Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA from 30th April 08, until now range- 0.5 to 0.6, I am now 70

Veteran Member

Date Joined Feb 2010
Total Posts : 3987
   Posted 5/9/2011 8:01 PM (GMT -6)   
Mal -- i still suffer from fatigue but it's getting better.  i don't know if i'll ever be "the same".  another thing to consider is we are getting older and we weren't exactly spring chickens when we started this journey cool .
age: 56
PSA on 12/09: 6.8
gleason 3+4 = 7
received 3rd and last lupron shot 9/14/10
2/8/11 PSA <.1, T= 6 ng/dl

Post Edited (F8) : 5/9/2011 7:26:56 PM (GMT-6)

Veteran Member

Date Joined Nov 2009
Total Posts : 7269
   Posted 5/9/2011 10:27 PM (GMT -6)   
I'm sure there is a huge psychological component in our fight against this disease.
One of the problems with SRT is that you (mentally and physically) can't get away from it. Every weekday, you are reminded of it since you have to go get the tx and on the weekend you are recovering and still reminded because you DON'T have to go that day. Before SRT I was able to get away from it figuritively and literally (great cruise with my wife).
After this week, I will definitely try to regain that escape.
I don't think this particular fatigue is psychological, frankly, but  who know!
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